The nurse debriding a burn wound explains that the purpose of debridement is to:

increase the effectiveness of the skin graft.

promote movement in the affected area.

prevent infection and promote healing.

promote suppuration of the wound.

Answer and Explanation

The Correct Answer is C

A. Increase the effectiveness of the skin graft:

Debridement can indeed increase the effectiveness of a skin graft by preparing a clean, viable wound bed for grafting. Removing dead tissue and debris helps the skin graft adhere to healthy tissue and promotes successful graft take. However, this is not the primary purpose of debridement.

B. Promote movement in the affected area:

While debridement can indirectly contribute to promoting movement by improving wound healing and reducing pain, the primary purpose of debridement is not to promote movement in the affected area.

C. Prevent infection and promote healing:

This statement accurately reflects the primary purpose of debridement. By removing nonviable tissue, debris, and foreign material from the wound, debridement helps prevent infection by reducing the bacterial load and creating an environment conducive to healing. It also promotes granulation tissue formation and wound contraction, which are essential for wound healing.

D. Promote suppuration of the wound:

Suppuration refers to the formation and discharge of pus from a wound, often indicating infection. Debridement aims to remove necrotic tissue and prevent infection, so promoting suppuration is not a desired outcome of debridement.

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Free Nursing Study Resources

Correct Answer is C

Explanation

The correct answer is C. Ablative. Ablative surgery involves the removal of a diseased or damaged part of the body, such as an amputation. In this case, the removal of the patient's right leg due to diabetes-related complications qualifies as ablative surgery.

A. Evidence based practice B. Informatics C. quality improvement D. Safety

Correct Answer is D

Explanation

A. Evidence-based practice:

Evidence-based practice (EBP) involves integrating the best available evidence from research, clinical expertise, and patient preferences and values to inform nursing practice. In perioperative nursing, EBP is important for making informed decisions about preoperative, intraoperative, and postoperative care protocols. For example, using evidence-based guidelines for surgical site infection prevention, pain management strategies, and postoperative care protocols can improve patient outcomes and safety.

B. Informatics:

Informatics refers to the use of information technology and data management systems to support nursing practice, education, research, and patient care. In perioperative nursing, informatics plays a crucial role in managing electronic health records (EHRs), accessing patient data, documenting care, and communicating with interdisciplinary team members. It also includes utilizing perioperative information systems for surgical scheduling, anesthesia records, and tracking patient progress during surgery.

C. Quality improvement:

Quality improvement (QI) involves systematic processes to monitor, assess, and improve the quality of healthcare services. In perioperative nursing, QI initiatives focus on enhancing patient safety, optimizing surgical outcomes, reducing complications, and improving efficiency in perioperative processes. Nurses participate in QI projects by analyzing data, identifying areas for improvement, implementing evidence-based practices, and evaluating the impact of interventions on patient care and outcomes.

D. Safety:

Safety is a fundamental QSEN competency, particularly critical in perioperative nursing care. Perioperative nurses are responsible for ensuring the safety of patients during all phases of surgery, including preoperative assessment, intraoperative care, and postoperative recovery. This includes measures such as verifying patient identity and surgical site, preventing surgical errors (e.g., wrong-site surgery), maintaining aseptic techniques to prevent infections, preventing falls and injuries, managing anesthesia safely, and adhering to protocols for safe medication administration and equipment use.

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The nurse debriding a burn wound explains that the purpose of debridement is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 73-year-old patient with diabetes was admitted for below the knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?

Correct Answer is C

Explanation

A nurse working in the perioperative area is reviewing the Quality and Safety Education in Nursing (QSEN) competencies. Which of the foIIowing competencies should the nurse identify as the priority when caring for a client during the perioperative period?

Correct Answer is D

Explanation

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What would be considered early signs/symptoms of pressure injury (Stage 1)?

A nurse is preparing a patient for discharge after surgery. The patient needs to change a large dressing and manage a drain at home. What instruction by the nurse is most important?